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Individual
TAYLOR KLAUS-VINEYARD
Active
Individual
TAYLOR KLAUS-VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, QMHP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-07-2-1
OR
101YM0800X
Mental Health Counselor
10311
CA
101YM0800X
Mental Health Counselor
Primary
MC60593925
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2015
Last updated
05/27/2025
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